| NPI | 1467075945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15516) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5654) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29343) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |